Solis Bermudez Ulises, Monroy Velázaquez Mariana Gabriela, Lara Sampayo Karina Lizbeth, Estrada Tijerina Sergio Federico, Trujillo Rodríguez Jesus Eduardo, Ruiz Lopez Moisés Alvir, Ponce Graciano Erik, Rosales Martinez Oscar Ulises
Medicine, Universidad Vasco de Quiroga, Mexico City, MEX.
Medicine and Surgery, Hospital General de Zona No. 32 Dr. Mario Navarro Madrazo, Instituto Mexicano del Seguro Social (IMSS) Órgano de Operación Administrativa Desconcentrada en la Ciudad de México Sur (OOAD CDMX Sur), Mexico City, MEX.
Cureus. 2025 Mar 8;17(3):e80256. doi: 10.7759/cureus.80256. eCollection 2025 Mar.
Nipple reconstruction is a crucial aspect of breast reconstruction, focusing on restoring the aesthetic appearance of the nipple-areola complex (NAC). Techniques such as the C-V flap are commonly used, but they often face challenges in maintaining nipple projection over time, requiring overcorrection. The modified C-V flap, incorporating purse-string sutures, improves projection retention and reduces the need for revisions. A 63-year-old woman with a history of failed reconstructions underwent a modified C-V flap, achieving favorable results. This technique, combined with composite grafts and tattooing, addresses complications such as radiotherapy effects and enhances the overall outcome. The approach offers a reliable and personalized solution, optimizing long-term results in nipple reconstruction.
乳头重建是乳房重建的关键环节，重点在于恢复乳头乳晕复合体（NAC）的美学外观。诸如C-V皮瓣等技术常用，但随着时间推移，它们在维持乳头突出度方面常面临挑战，需要过度矫正。纳入荷包缝合的改良C-V皮瓣可改善突出度的保持并减少修复需求。一名有重建失败史的63岁女性接受了改良C-V皮瓣手术，取得了良好效果。该技术与复合移植及纹身相结合，可解决放疗影响等并发症，并提高整体效果。这种方法提供了一种可靠且个性化的解决方案，优化了乳头重建的长期效果。
